STUART DENNY NPI 1831379734

NPI Information

NPI: 1831379734
Provider Name: STUART DENNY

Doing Business As: TWIN GABLES FAMILY HEALTH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
914 W IRONWOOD DR STE 202
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-5304
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STUART DENNY is a primary care clinic center in Coeur D Alene, ID. STUART DENNY NPI is 1831379734. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin Gables Family Health.

The provider's business location address is:

914 W IRONWOOD DR STE 202
COEUR D ALENE, ID
ZIP 83814-927
Phone: (208) 765-5304
Fax: (208) 664-8670

The provider's authorized official is Stuart Denny .
The authorized official title is Owner and has the following contact phone number (208) 765-5304.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010006394	OTHER		REGENCE BLUE SHIELD
2	88609	OTHER	IDAHO	BLUE CROSS OF IDAHO
3	002560500	MEDICAID	IDAHO
4	1373699	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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